Skip to main content
Top
Published in: Acta Neurochirurgica 11/2017

01-11-2017 | How I Do it - Pediatrics

How I do it. 3D endoscopic treatment of metopic craniosynostosis through a single incision

Authors: Juan Delgado-Fernández, Mónica Rivero-Garvía, Javier Márquez-Rivas

Published in: Acta Neurochirurgica | Issue 11/2017

Login to get access

Abstract

Background

Endoscopic approaches for craniosynostosis are a growing field in pediatric neurosurgery. In metopic synostosis, previous reports for complete fronto-orbital remodeling have proposed an intervention with multiple incisions (bregmatic, tarsal, and preauricular) to open frontonasal and frontoethmoidal synostotic sutures, and orbital roof.

Methods

We propose a technique to complete all these osteotomies with a unique incision anterior to the bregmatic fontanel under 3D endoscopic vision, and review possible complications, limits, and pitfalls.

Conclusions

Under endoscopic assistance, a complete fronto-orbital remodeling could be completed with a unique incision without mayor drawbacks.
Appendix
Available only for authorised users
Literature
1.
go back to reference Bennett KG, Bickham RS, Robinson AB, Buchman SR, Vercler CJ (2016) Metopic craniosynostosis: a demographic analysis outside an urban environment. J Craniofac Surg 27(3):544–547PubMed Bennett KG, Bickham RS, Robinson AB, Buchman SR, Vercler CJ (2016) Metopic craniosynostosis: a demographic analysis outside an urban environment. J Craniofac Surg 27(3):544–547PubMed
2.
go back to reference Cohen SR, Holmes RE, Ozgur BM, Meltzer HS, Levy ML (2004) Fronto-orbital and cranial osteotomies with resorbable fixation using an endoscopic approach. Clin Plast Surg 31(3):429–442CrossRefPubMed Cohen SR, Holmes RE, Ozgur BM, Meltzer HS, Levy ML (2004) Fronto-orbital and cranial osteotomies with resorbable fixation using an endoscopic approach. Clin Plast Surg 31(3):429–442CrossRefPubMed
3.
go back to reference Hinojosa J (2012) Endoscopic-assisted treatment of trigonocephaly. Childs Nerv Syst 28(9):1381–1387CrossRefPubMed Hinojosa J (2012) Endoscopic-assisted treatment of trigonocephaly. Childs Nerv Syst 28(9):1381–1387CrossRefPubMed
4.
go back to reference Jimenez DF, Barone CM (2007) Early treatment of anterior calvarial craniosynostosis using endoscopic-assisted minimally invasive techniques. Childs Nerv Syst 23(12):1411–1419CrossRefPubMed Jimenez DF, Barone CM (2007) Early treatment of anterior calvarial craniosynostosis using endoscopic-assisted minimally invasive techniques. Childs Nerv Syst 23(12):1411–1419CrossRefPubMed
5.
go back to reference Rivero-Garvía M, Márquez-Rivas J, Rueda-Torres AB, Ollero-Ortiz A (2012) Early endoscopy-assisted treatment of multiple-suture craniosynostosis. Childs Nerv Syst 28(3):427–431CrossRefPubMed Rivero-Garvía M, Márquez-Rivas J, Rueda-Torres AB, Ollero-Ortiz A (2012) Early endoscopy-assisted treatment of multiple-suture craniosynostosis. Childs Nerv Syst 28(3):427–431CrossRefPubMed
6.
go back to reference van der Meulen J, van der Hulst R, van Adrichem L et al (2009) The increase of metopic synostosis: a pan-European observation. J Craniofac Surg 20(2):283–286CrossRefPubMed van der Meulen J, van der Hulst R, van Adrichem L et al (2009) The increase of metopic synostosis: a pan-European observation. J Craniofac Surg 20(2):283–286CrossRefPubMed
Metadata
Title
How I do it. 3D endoscopic treatment of metopic craniosynostosis through a single incision
Authors
Juan Delgado-Fernández
Mónica Rivero-Garvía
Javier Márquez-Rivas
Publication date
01-11-2017
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 11/2017
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-017-3333-7

Other articles of this Issue 11/2017

Acta Neurochirurgica 11/2017 Go to the issue